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General NPI Number Information
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NPI Number | 1487134623
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Entity Type | Organization
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Legal Business Name | HY DIAGNOSTIC INC
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Dates
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Enumeration Date | 08/17/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 4201 WILSHIRE BLVD STE 334A
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City | LOS ANGELES
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State | CA
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Zip | 90010-3601
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Country | US
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Telephone | 323-251-4103
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 WILSHIRE BLVD STE 334A
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City | LOS ANGELES
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State | CA
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Zip | 90010-3601
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YELENA HOVHANNISYAN
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Credential |
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Telephone | 323-251-4103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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